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Organization
LIFECARE OF MICHIGAN, LLC
Active
Organization
LIFECARE OF MICHIGAN, LLC
Active
Other names
LIFECARE PHARMACY OF MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANSA MAKKI (PRESIDENT)
(313) 231-1141
Entity
Organization
Contact information
Practice address
23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
(734) 261-4400
(734) 261-4803
Mailing address
23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
(734) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301010697
MI
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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